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o� <br />S <br />m� <br />S <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 If Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you, <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Jim Stover <br />C.B. Minerals Company, LLC <br />2352 N 7th St, Suite B <br />Grand Junction, CO 81501 <br />UNITED S TAgTl+s <br />r : - _ • :fit FFas s Mail <br />'tj F5 d <br />. G -T0 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />b i A 1 Jb UP LULUKABU <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVI N OF RECLAMATION, MINING & SAFETY <br />13 HERMApi STREET, SUITE 215 <br />D ER , CO 03 <br />h �C"; JJD��ow C- 1984 -065 <br />O < ca CV2012 -005 <br />a.cs- - - -- -- <br />�' ,_c Notice of Violation <br />o • __ /AHH <br />iEl il ilil f i ll ti lil i diilil Jj 1l <br />A. kignaturre / <br />X 7 _ `1�. I ❑ Agent <br />by (Printed Narde) I C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Servlce Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7009 2820 0003 5700 6427 <br />(Transfer from service /abel) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />